Online Petition to Charter Form

Instructions YOU MUST HAVE THREE DOCUMENTS READY TO COMPLETE THIS APPLICATION ONLINE! Keep in mind that you will need to upload a chapter roster, a signed Institutional endorsement form and a draft of your chapter bylaws. It is not possible to submit, or even save, a partially completed form.
The Chapter Roster Template, the
Institutional Endorsement PDF and the Student Chapter Bylaws Template are linked above and below in the "Institutional Endorsements" section.

University / College Information

Name of Student Organization: *

Name of College/University: *

Street Address *

Apt, Suite, Blg (Optional)

City *

State / Province / Region *

Postal / Zip Code *

Country *

Phone

Fax:

Primary Email This email address will be used for all official communications with the chapter. This includes renewal reminders, newsletters and regular email communications.

Website:

Preparer's Information

This petition was prepared by:

What is your title?

Preparer Name

Phone

Email

Student Chapter President

Student Name *

Phone *

Email *

Student Chapter Vice President

Student Name

Phone

Email

Student Chapter Treasurer

Student Name

Phone

Email

Student Chapter Secretary

Text

Phone

Email

Faculty Advisor Information

Faculty Advisor *

Faculty Advisor Email *

Faculty Advisor Phone

Institutional Endorsements

Department Chair Name *

Department Chair Title *

Department Chair Email *

Dean Name *

Dean Title *

Dean Email *

Institutional Endorsements *In order for the petition to be considered complete, please collect the necessary signatures on this document. Once completed, please upload as part of this petition . This is in ADDITION to providing the contact information for your University's Dean and Dept. Chair. (Accepted file formats: png|jpeg|gif|pdf|.doc|.docx)

Google Docs URL Instead of uploading your Student Chapter Roster, send us a link to to it (i.e. Google Docs, Dropbox). Please be sure that viewing permissions are set so that we will have access to the document. Please give permission to patrick@aisnet.org